Doctor Name: | TERESA L BAIRD |
NPI Number: | 1386875813 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN |
License Number: | 107486030 |
Business Practice Address: | 1047 St Andrew Street Lacrosse, WI - 546032378 |
Business Phone Number: | 6087856354 |
Business Fax Number: | |
Mailing Address: | W15674 Dopp Rd, Po Box 252 ETTRICK |
State: | WI |
Postal Code: | 546279311 |
Phone Number: | 6085256404 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 107486030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |